<strong>1861</strong>. "s. 820Labob Obstructed by Hydrocephalus.—Professor Simpson adthatwhen labor is obstructed by a hydrocephalic head, we shouldnot perforate the cranium and to a certainty destroy the child, butshould tap it with the trocar ;thus performing in utero the operationmost calculated to be of service to it in mundo. Again, when it is afootliug casej and the hydrocephalic head cannot be born, he advises, insteadof using great traction or endeavoring in this awkward situation topuncture with trocar, to cut across the spine, when the fluid will immediatelyfind exit. Dropsy may occur in the other cavities of the foetus;especially pleuritic and peritoneal effusions. Amer Med.. Times.Illumination.—It a<strong>pp</strong>ears that the difference in the illuminatingpower of the same gas may vary twenty per cent, when tested at thehighest and at the lowest points of the barometrical range in this country,from the effect of the rarefaction of the air alone, without taking intoconsideration the different densities of the gas at the o<strong>pp</strong>osite decree ofpressure.— British Medical Journal.On Saccharate or Colchicum.—That Colchicum is so frequentlyfound inefficient in cases of articular rheumatism and gout, Dr. Joycuxregards as due mostly to the use of an improper preparation. He considerscolchicum "as certain a specific in gout and acute articular rheumatism,as iodine in goitre, and iron in chlorosis." The best and mostuniform preparations arc the fresh juice rubbed up in the proportion ofone to five with sugar, and dried in vacuo ;or 2, an extract obtainedfrom the fresh juice by evaporation in vacuo. The former preparationhe prefers for internal nsej giving, as an average dose, four grammes(one drachm) daily, in ten divided doses, while he employs the extractto rub on the painful parts. Giving such divided doses prevents allirritation of the bowels and diarrlnva, which so many consider as inseparablefrom the effects of the remedy. Attacks of gout so treated, yield,at the latest, in two or three days ;acute articular rheumatism "afterfourteen to twenty days. In cases of subacute rheumatism, the remedyis not so efficient, though it usually gives considerable relief. Gaz. desHospitauz. Maryland t\- Virginia Med. Jour.Arsenic in Apoplectic Congestion.— 31. Lamare J'icquot, physicianto the Honfleur Hospital, as the result of ten years' observation andtrial upon between forty and fifty cases, including his own among them,strongly recommends the prolonged use of arsenic as an effectual" meansof subduing congestion likely to give rise to apoplexy. In very urgentcases in which hemorrhage seems imminent, he precedes its employmentby a moderate venesection, but this is quite exceptional. In proportionto the severity and menacing danger of the case, the dose requires to belarger ;and although, even after a month, benefit may already result, tobe of permanent benefit it will In ontinued for several month.-.
———830 Miscellaneous. [<strong>October</strong>,The more urgent the case, the more tolerant docs the system become ofthe arsenic. The author, regarding apoplexy as consisting essentially inan extensive increase of globules of the blood, employs arsenic as a powerfulagent for decreasing these, as well as the plasticity of the blood,It becomes, of course, necessary to assure oneself in a given case of therichness of the blood, for to employ arsenic when the blood is impoverished,would be to do mischief. The author has generally found thedose of one-fifteenth to one-sixth of a grain per diem sufficient. Bull,dc Tlteroj)., tome lvii. <strong>pp</strong>. 193-252. Ibid.On the Efficacy of Digitalis and Quinia in the Treatment ofHemicrania.—Dr. Debout, who has very severely suffered for manyyears from attacks of hemicrania, testifies to the efficacy of the combineduse of sulphate of quinia and powder of digitalis in the treatment of thiscomplaint. The proportions employed are three grammes (about threefourthsof a drachm) of sulphate of quinia, and one and a half grammeof powdered digitalis, made into thirty pills, of which one is to be takenevery night at bedtime for at least three months. From the beneficialeffects produced on himself, Dr. Debout prescribed the same treatmentfor several patients, and the results in many cases were equally satisfactory.Chemical Gazette. Ibid.Treatment of Old Fissures of the Anus.—M. Gosselin observesthat most of these fissures may be easily cured, whatever be the meansadopted. Still he regards forced dilatation as the most expeditious andthe most convenient for the patient, while incision best guards againstrelapse. In many cases he has combined with advantage these twomodes. First dilating, and then incising the fissure, which is theneasily visible throughout its whole extent. He has observed the fissureand its pains persisting after forced dilatation oftcner in women than inmen. But besides these fissures thus easily cured, there are otherswhich resist various modes of treatment successively employed, or, whencured, are succeeded by new ones, just as painful as the others. After,in such cases, trying the various means one after another, M. Gosselinresorts to daily dilatation, which he has found attended with good results.The index-finger is passed into the anus daily until the pains after defecationhave disa<strong>pp</strong>eared or notably diminished Gaz. dcs. Ho]).,No. 91. IbidHoney and Glycerine in Surgery.—Dr. C. F. Moore, MedicalSuperintendent of Middleton Hospital and Infirmary, says (Dub. Med.Press, Dec. 2G, 1860) that several mouths ago he commenced the use ofglycerine to bedsores in bad fever cases, and finding it to excel his expectations,he used it in all cases where a healing dressing was required.It occurred to him, some three or four months since, that honey might
- Page 1 and 2:
SOUTHERNfttcMcai avto Surgical Imtt
- Page 3 and 4:
practical754 i;i'Ji J'oXes, on the
- Page 5 and 6:
756 Joseph Jones, on the Indigenous
- Page 7 and 8:
;7 58 Joseph J ones, on the Indigen
- Page 9 and 10:
760 Joseph Jones, on the Indigenous
- Page 11 and 12:
762 3EPflJoKfis, bn the Indigenous
- Page 13 and 14:
764 Joseph Jones, on the Indigenous
- Page 15 and 16:
7'!
- Page 17 and 18:
—'.emeticssbfhJohi[Octobameliorat
- Page 19 and 20:
770 Joseph Jones, on the Indigenous
- Page 21 and 22:
77-? Joseph Jones, on the Indigenou
- Page 23 and 24:
7 74 Joseph Jones, on the Indigenou
- Page 25 and 26:
776 Joseph Jones, on 1 the Indigeno
- Page 27 and 28: 778 Joseph Jones, on the Indigenous
- Page 29 and 30: 780 Joseph Jokes, on (he Indigenous
- Page 31 and 32: 782 Joseph Jones, on the Indigenous
- Page 33 and 34: :784 Joseph Jones, on the Indigenou
- Page 35 and 36: —786 Joseph Jones, on the Indigen
- Page 37 and 38: 788 Dvphtlima. [October,to confound
- Page 39 and 40: 700 Diphtheria. [October,*almost in
- Page 41 and 42: 792 Diphtheria. [October,in water a
- Page 43 and 44: 704 Diphtheria: [October,find favor
- Page 45 and 46: 796 Diphtheria. [October,tongue. \)
- Page 47 and 48: 798 Uterine Inflammation. October,b
- Page 49 and 50: 800 Uterine Inflammation. [October,
- Page 51 and 52: 802 Uterine Inflammation. [October,
- Page 53 and 54: elhrai804 me Inflammation. [October
- Page 55 and 56: ;806 Phlegmasia Dolens. [October,Th
- Page 57 and 58: SOS Termination ofNerves. [October,
- Page 59 and 60: cl Termination of Nerv October,] to
- Page 61 and 62: —812 Development of Bloodvessels.
- Page 63 and 64: —814 ( orpuscles of the Spleen. [
- Page 65 and 66: —Mi; Ammomcemh. [October,tubes in
- Page 67 and 68: 818 Ammoniamia. [October,v^^%/\yof
- Page 69 and 70: 820 Arnmoniccraia. [October,combine
- Page 71 and 72: 822 Ammonicemia, [October,all, requ
- Page 73 and 74: 824 Galcano Cautery in Cataract. [O
- Page 75 and 76: —826 Editorial. [October,MEDICAL
- Page 77: ———828 Miscellaneous. [Octobe
- Page 81: —832 Miscellaneous.was employed f